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Sample questions
Part I: Preliminary Examination Content:
Matching Type : Write the letter of the correct answer on the Answer sheet provided:
vertical banded gastroplasty
Gastroesophageal Reflux Disease
Sliding hiatal hernia
paraesophageal hernia
Esophagomyotomy a surgical procedure
Bariatric Srugical procedures
Nissen fundoplication
Zenker’s diverticulum
1. Occurs when the upper stomach and the gastroesophageal junction are displaced upward and slide in
and out of the thorax.
2. Occurs when all or part of the stomach pushes through the diaphragm beside the esophagus.
3. A backflow of gastric or duodenal contents into the esophagus.
4. Is a surgery involve a double row of staples is applied vertically along the lesser curvature of the
stomach, beginning at the angle of His and a small stoma is created.
5. Is an out-pouching of mucosa and sub-mucosa that protrudes through a weak portion of the musculature.
6. Is an absent or ineffective peristalsis of the distal esophagus, accompanied by failure of the esophageal
sphincter to relax in response to swallowing
7. Wrapping of a portion of the gastric fundus around the sphincter area of the esophagus
8. Also known as pharyngoesophageal pulsion or a pharyngeal pouch.
9. Work by restricting a patientt’s ability to eat.
10. In which the esophageal muscle fibers are separated to relieve the lower esophageal stricture
Situation: A 45 year old woman come to primary care unit complaining of difficulty of swallowing ,
sensation of food sticking in the lower esophagus , food regurgitation and chest pain.
11. The nurse should suspect which of the following disorders:
a. Achalasia
b. Gastroesophageal reflux disease
c. Diverticulum
d. Bariatric disorder
12. The physician order a manometry for this patient , the manometry is :
a. A process of assessing esophageal pressure
b. A process of assessing esophageal acidity
c. A process of assessing esophageal peristalsis movement
d. A process of assessing esophageal junction with stomach
13. The pharmacological treatment of this disorder include :
a. Calcium channel blocker and nitrates
b. Anti-acid and anti- histamine
c. Antibiotics and proton pump inhibitors
d. Anti-acid and two types antibiotics
14. This disorder can be treated by pneumatic dilation; which is help to :
a. Stretch and dilate the narrowed area of esophagus
b. Stimulate peristalsis movements
c. Constrict gastroesophageal sphincter
d. Increase appetite
15. The nurse should instruct the patient to
a. Recline after eating for 1 hour
b. Avoid eating too much block forming foods
c. Elevate the head of the bed 10 to 20 CM
d. Eat food packed with nutrients only
Part 2: Second Major Examination Content:
Situation: A 30-year-old known diabetic, is brought to the emergency department by ambulance. The
paramedic team reports symptoms of apparent hyperglycemia. Stat blood glucose is 640.
16. The nurse has taught a client about the signs and symptoms and treatment of hyperglycemia. Which
statement by the client reflects an accurate understanding?
a. I may become diaphoretic and faint
b. I may notice that I have dry skin and increased urination and thirst
c. I should restrict my fluid intake if my blood glucose level is more than 250 mg/dl
d. I need to take an extra diabetic pill if my blood glucose level is more than 300 mg/dL
17. The risk factors for type 1 diabetes include all of the following EXCEPT:
a. Diet
b. Genetic
c. Autoimmune
d. Environmental
18. It is critical also that a diabetic client should be educated in the possible sites if regular insulin injection. The
fastest absorption rate happens at the tissue areas of:
a. Gluteal area
b. Deltoid area
c. Anterior area
d. Abdominal area
19. It is necessary for a diabetic client to exercise regularly. What is the effect of regular exercise to a diabetic
a. It burns excess glucose
b. It improves insulin utilization and lowers blood glucose
c. It lowers glucose, improves insulin utilization; decrease total triglyceride levels
d. It will make you fit and energized
20. The nurse is aware that excess serum glucose acts to draw fluids osmotically with resultant polyuria. In
addition to increased urinary output, the nurse should expect to observe which of the following sets of
symptoms ?
a. Polydipsia, polyphagia.
b. Thirst, dry mucous membranes, hot dry skin
d. Hypotension, bounding pulse, headache
d. Nervousness, rapid respirations, diarrhea
21. A client with Total Parenteral Nutrition (TPN) suddenly develops tremors, dizziness, weakness and
diaphoresis. The client said “I feel weak” You saw that his TPN is already empty and another TPN is scheduled
to replace the previous one but its provision is already 3 hours late. Which of the following is the probable
complication being experienced by the client?
a. Hyperglycemia
b. Hypoglycemia
c. Infection
d. Fluid overload
22. The following are the description of Insulin EXCEPT:
a. Allows glucose to pass from the blood stream into cell.
b. Produced in the pancreas.
c. The major source of glucose in the body.
d. Production stimulated by increased blood sugar
23. Diabetes Mellitus is best described as;
a. A metabolic disorder in which the body cannot metabolize insulin.
b. Usually due to the lack of insulin or inadequate insulin production
c. Diabetes mellitus is a group of metabolic diseases characterized by increased levels of insulin in the
d. Resulting from defects in glucose secretion in the pancreas.
24. What is the Normal blood sugar in the body?
a. 60–120mg/dl
b. 80–120mg/dl
c. 60–200mg/dl
d. 80–200mg/dl
25. The Type II Diabetes Mellitus is best describe as, EXCEPT.
a. No insulin produced
b. Can progress to type I diabetes
c. Treated with diet/exercise and/or oral medications
d. Usually appears later in life
26. Classic clinical manifestations of all types of diabetes include the “three Ps” EXCEPT.
a. increased urination
b. increased thirst
c. increased weight
d. increased appetite
27. The following are the common causes of Hypoglycemia EXCEPT.
a. Too little insulin
b. Starvation
c. Exercise
d. Liver problems
28. In what condition that the Kussmaul respirations or rapid/deep respirations in an attempt to blow off acids
(CO2) is present?
a. Hypercalcemia
b. Hyperglycemia
c. Hypocalcemia
d. Hypoglycemia
29. Diabetic Ketoacidosis are best describe as, EXCEPT.
a. Insulin shock
b. Slow in onset
c. Mimics dehydration
d. Hyperglycemia
30. A client arrives at the emergency department complaining of frequent excessive urination, excessive thirst,
and an increased appetite. Which laboratory test would be significant based on the client’s symptoms?
a. urine culture and sensitivity
b. liver function studies
c. blood glucose
d. lipid profile